Virginia
Provider Communications

June 2020 Anthem Provider News - Virginia

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Title Category

A special thank you to Care Providers

Thank you for your tireless efforts in keeping our country healthy. For all you do, we would like to share a message of our gratitude.
Administrative

Anthem introduces lower cost Anthem Health Access Plans on June 1 in response to COVID-19 crisis

Administrative

Provider contract and fee schedule notifications coming soon

Administrative

Availity Portal Notification Center

Administrative

Quality Corner: CPT® Category II codes - Collaborating for enhanced patient care

Administrative

Anthem Commercial Risk Adjustment (CRA) Program Update: Retrospective Program Begins; Prospective Program Continues

Products & Programs

Quality Corner: Follow-up after Hospitalization for Mental Illness

Behavioral Health

National Drug Code requirement on outpatient claims

Pharmacy

Anthem prior authorization updates for specialty pharmacy are available

Pharmacy

Pharmacy information available on anthem.com

Pharmacy

Coverage guidelines effective September 1, 2020

Coverage and Clinical Guidelines

Modifier use reminders

Medicaid

2020 affirmative statement concerning utilization management decisions

Medicaid

Coding Spotlight: An Anthem HealthKeepers Plus provider guide to code social determinants of health

Medicaid

Follow-up after Hospitalization for Mental Illness

Medicaid

Complex Case Management program

Medicaid

Important information about utilization management

Medicaid

Anthem HealthKeepers Plus Members’ Rights and Responsibilities Statement

Medicaid

Medicaid patients can make the switch to the Anthem HealthKeepers Plus plan

Medicaid

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

Medicaid

Keep up with Medicaid news

Medicaid

Modifier use reminders

Medicare

Anthem working with Optum to collect medical records for risk adjustment

Medicare

2020 Medicare risk adjustment provider training

Medicare

Diabetes HbA1c < 8 HEDIS guidance

Medicare

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

Medicare

Keep up with Medicare news

Medicare
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